{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T00:17:00Z","timestamp":1716509820942},"reference-count":31,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Med Ethics"],"accepted":{"date-parts":[[2023,4,20]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>This paper offers a qualified defence of physician non-compliance with antiabortion legislation in the wake of the Supreme Court\u2019s decision in Dobbs v. Jackson Women\u2019s Health Organization. The paper examines two ethically troubling trends of post-Dobbs legislation: narrow and vague maternal health exemption clauses and mandatory reporting of miscarriages in jurisdictions where patients may criminal prosecution for medically induced abortions. It then examines and defends a professional obligation on the part of physicians to comply with the law. This obligation, however, is defeasible. The paper then argues that physicians\u2019 obligations to comply with the law is defeated when the law is illegitimate and following the law would constitute bad medical practice. Finally, it argues that the ethically troubling trends in post-Dobbs antiabortion legislation may meet these criteria.<\/jats:p>","DOI":"10.1136\/jme-2023-108964","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T17:39:54Z","timestamp":1683567594000},"page":"185-189","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Abortion restrictions: the case for conscientious non-compliance on the part of providers"],"prefix":"10.1136","volume":"50","author":[{"given":"Pierce","family":"Randall","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Mago","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,5,8]]},"reference":[{"key":"2024052219542701000_50.3.185.1","unstructured":"Dobbs V J . Jackson women\u2019s health organization. 2022: 597."},{"key":"2024052219542701000_50.3.185.2","unstructured":"Texas heartbeat act 2021. 2021 Available: https:\/\/webservices.sos.state.tx.us\/legbills\/files\/RS87\/SB8.pdf"},{"key":"2024052219542701000_50.3.185.3","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1056\/NEJMp2207423","article-title":"The New England Journal of medicine","volume":"387","author":"Arey","year":"2022","journal-title":"The New England Journal of medicine"},{"key":"2024052219542701000_50.3.185.4","unstructured":"American College of Obstetricians and Gynecologists . Statement for the record before the House Committee on oversight and reform regarding the hearing, \"Texas\u2019s unconstitutional abortion ban and the role of the shadow docket. 2012. Available: https:\/\/docs.house.gov\/meetings\/GO\/GO00\/20210930\/114069\/HHRG-117-GO00-20210930-SD018.pdf"},{"key":"2024052219542701000_50.3.185.5","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1016\/j.fertnstert.2015.12.130","article-title":"Cesarean scar pregnancy: A systematic review of treatment studies","volume":"105","author":"Birch Petersen","year":"2016","journal-title":"Fertility & sterility"},{"key":"2024052219542701000_50.3.185.6","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1097\/00006254-200208000-00024","article-title":"Ectopic pregnancy within a cesarean scar: A review","volume":"57","author":"Fylstra","year":"2002","journal-title":"Obstetrical & gynecological survey"},{"key":"2024052219542701000_50.3.185.7","first-page":"223","article-title":"Cesarean scar ectopic pregnancy: The lurking danger in post cesarean failed medical abortion","volume":"13","author":"Anant","year":"2019","journal-title":"Journal of family reproductive health"},{"key":"2024052219542701000_50.3.185.8","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20270"},{"key":"2024052219542701000_50.3.185.9","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1016\/j.fertnstert.2016.01.008","article-title":"Treatment of cesarean scar pregnancy: Another chapter in the fertility preservation saga","volume":"105","author":"Kauffman","year":"2016","journal-title":"Fertility & sterility"},{"key":"2024052219542701000_50.3.185.10","doi-asserted-by":"crossref","unstructured":"Miller R , Timor-Tritsch IE , Gyamfi-Bannerman C . Cesarean scar pregnancy. In: Society for maternal-fetal medicine (SMFM) consult series. 2020: B2\u201314. doi:10.1016\/j.ajog.2020.01.030","DOI":"10.1016\/j.ajog.2020.01.030"},{"key":"2024052219542701000_50.3.185.11","unstructured":"Strott S . In pro-choice Nevada, obscure law sends women to prison for late-term pregnancy loss. In: Nevada independent. Available: https:\/\/thenevadaindependent.com\/article\/in-pro-choice-nevada-obscure-law-sends-women-to-prison-for-late-term-pregnancy-loss"},{"key":"2024052219542701000_50.3.185.12","unstructured":"Huss L , Diaz-Tello F , Samari G . Self-care, Criminalized: August 2022 preliminary findings [Internet]. If\/when\/how; 2022. https:\/\/www.ifwhenhow.org\/download\/?key=vL43kFFaxm"},{"key":"2024052219542701000_50.3.185.13","unstructured":"Giubilini A , Schuklenk U , Minerva F , et al . Conscientious commitment, professional obligations and abortion provision after the reversal of Roe V. Wade. J MED Eth 2023:jme\u20132022. doi:10.1136\/jme-2022-108731 Available: https:\/\/protect-eu.mimecast.com\/s\/7QLpCDwN1h8pOEI6q4Kq?domain=ifwhenhow.org"},{"key":"2024052219542701000_50.3.185.14","doi-asserted-by":"crossref","first-page":"27","DOI":"10.2307\/40018997","article-title":"That troublesome old Cocklebur:\" John R. Brinkley and the medical profession of Arkansas, 1937-1942","volume":"35","author":"Schneider","year":"1976","journal-title":"Arkansas historical quarterly"},{"key":"2024052219542701000_50.3.185.15","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1017\/S1352325200000434","article-title":"The moral magic of consent","volume":"2","author":"Hurd","year":"1996","journal-title":"Legal theory"},{"key":"2024052219542701000_50.3.185.16","unstructured":"Hume D . Essays moral, political, and literary. Indianapolis: Liberty Fund, 1987: 465\u201387."},{"key":"2024052219542701000_50.3.185.17","unstructured":"Faden RR , Beauchamp TL . A history and theory of informed consent. New York: Oxford University Press, 1986: 396p."},{"key":"2024052219542701000_50.3.185.18","doi-asserted-by":"publisher","DOI":"10.1086\/233944"},{"key":"2024052219542701000_50.3.185.19","unstructured":"Guerrero A . Democracy and legitimacy Dissertation. New York: New York University, 2012. Available: https:\/\/static1.1.sqspcdn.com\/static\/f\/1011404\/18394710\/1337884307927\/Final_Dissertation.pdf?token=TQJWeEoHI7TdQdfGasa3%2B7lF6Zg%3D"},{"key":"2024052219542701000_50.3.185.20","doi-asserted-by":"crossref","unstructured":"Guerrero A . Political functionalism and the importance of social facts. In: Vallier K , Weber M , eds. Political utopias: Contemporary debates. New York: Oxford University Press, 2017. doi:10.1093\/acprof:oso\/9780190280598.001.0001","DOI":"10.1093\/acprof:oso\/9780190280598.003.0007"},{"key":"2024052219542701000_50.3.185.21","unstructured":"Rawls J . Political liberalism Expanded ed. New York: Columbia University Press, 2005: 525p."},{"key":"2024052219542701000_50.3.185.22","doi-asserted-by":"crossref","first-page":"E8","DOI":"10.1001\/amajethics.2019.8","article-title":"Should immigration status information be included in a patient\u2019s health record","volume":"21","author":"Kim","year":"2019","journal-title":"AMA Journal of ethics"},{"key":"2024052219542701000_50.3.185.23","doi-asserted-by":"publisher","DOI":"10.1197\/aemj.9.3.232"},{"key":"2024052219542701000_50.3.185.24","doi-asserted-by":"publisher","DOI":"10.2307\/1340158"},{"key":"2024052219542701000_50.3.185.25","doi-asserted-by":"crossref","unstructured":"Card RF . A new theory of conscientious objection in medicine. In: A new theory of conscientious objection in medicine: Justification and Reasonability. New York: Routledge, 2020. doi:10.4324\/9781003002239","DOI":"10.4324\/9781003002239"},{"key":"2024052219542701000_50.3.185.26","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7536.294"},{"key":"2024052219542701000_50.3.185.27","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1086\/JCE2020312146","article-title":"Conscientious objection in Healthcare: Neither a negative nor a positive right","volume":"31","author":"Giubilini","year":"2020","journal-title":"J Clin Eth"},{"key":"2024052219542701000_50.3.185.28","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1086\/JCE2020312136","article-title":"Should positive claims of conscience receive the same protection as negative claims of conscience? clarifying the asymmetry debate","volume":"31","author":"Brummett","year":"2020","journal-title":"J Clin Eth"},{"key":"2024052219542701000_50.3.185.29","doi-asserted-by":"crossref","unstructured":"Wolff RP . In defense of Anarchism. In: In defense of Anarchism. Berkeley: University of California Press, 31 December 1998. doi:10.1525\/9780520353916","DOI":"10.1525\/9780520353916"},{"key":"2024052219542701000_50.3.185.30","doi-asserted-by":"crossref","unstructured":"Green L , Leiter B . Oxford studies in philosophy of law: Volume 2. doi:10.1093\/acprof:oso\/9780199679829.001.0001","DOI":"10.1093\/acprof:oso\/9780199679829.001.0001"},{"key":"2024052219542701000_50.3.185.31","doi-asserted-by":"crossref","unstructured":"Delmas C . A duty to resist: When disobedience should be uncivil. New York: Oxford University Press, 2018.","DOI":"10.1093\/oso\/9780190872199.001.0001"}],"container-title":["Journal of Medical Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jme-2023-108964","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T02:56:45Z","timestamp":1716433005000},"score":1,"resource":{"primary":{"URL":"https:\/\/jme.bmj.com\/lookup\/doi\/10.1136\/jme-2023-108964"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,8]]},"references-count":31,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,2,20]]},"published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1136\/jme-2023-108964"],"URL":"https:\/\/doi.org\/10.1136\/jme-2023-108964","relation":{},"ISSN":["0306-6800","1473-4257"],"issn-type":[{"value":"0306-6800","type":"print"},{"value":"1473-4257","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,8]]}}}